- Perform primary (e.g., hospitals, licensing boards, etc.) and secondary source verifications of perspective providers' credentials with special emphasis on provider issues relating to malpractice claims, privileging, criminal concerns, license anomalies and discrepancies in education
- Responsible for gathering and verifying physician information, compiling required documents, researching necessary information and verifying medical licenses; scrutinize provider applications and resumes for consistency and accuracy
- Compiles documents, researches and verifies provider backgrounds by contacting hospitals, licensing boards, medical schools, etc.
- Contacts or interviews provider peer references over the phone about the providers clinical performance skills.
- Education: HS Diploma or GED required.
- Experience: 1 year of medical staffing credentialing required.
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Medix Brentwood, United StatesCredentialing and Contract Administration Specialist- Brentwood, TN · Job Responsibilities: Completes and submits provider credentialing and recredentialing applications to payors and follows up to ensure accurate and timely processing. · Reviews payors' provider directories to ...
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PT & Me Franklin, United StatesOverview · Company: STAR Physical Therapy · Position: Credentialing Specialist · Location: Franklin, Tennessee · Employment Type: Full-time · Wage: $18 - $22 / hour, dependent upon experience · Minimum Experience: 1+ year of credentialing experience preferred · We Are Seeking: ...
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LabCorp Brentwood, United States Full timeAre you an experienced Medical Lab Professional? Are you looking to embark on a new challenge in your career in Medical Lab Science? If so, LabCorp wants to speak with you about exciting opportunities to join our team as a Cytogenetics/FISH Technologist in Brentwood, TN. In this ...
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Surgery Partners Brentwood, United StatesDescription · The Credentialing Assistant primarily supports the provider Credentialing Specialists for Ambulatory Surgery Centers. This is a Full-Time remote position and the individual should be located in the Eastern Standard Time zone (EST). This individual must be a self st ...
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Ascension Health Brentwood, TN, United States Full timeM- F Full Time · Practice Detail: Primary Care Clinic · Facility: Ascension Saint Thomas Medical Partners · Visa Eligibility: None · Various health insurance options & wellness plans · Retirement benefits including employer match plans · Long-term & short-term disability · ...
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CSS Credentialing Specialist - Brentwood, TN, United States - Lifepoint Health Support Center
Description
CSS Credentialing Specialist
Who we are:
At Lifepoint Health, we provide quality healthcare to rural communities. As a valued member of our team, you will be an integral part of a group working together to elevate Lifepoint's healthcare delivery network. Our network includes 60+ community hospitals, 60+ rehabilitation/behavioral health hospitals, and 250 additional sites of care across the United States. As an organization, we are dedicated to serving communities nationwide by providing exceptional care. We believe in the power of our talented teams and strive to create environments where employees find purpose and fulfillment.
What you'll do:
As a CSS Credentialing Specialist , you will be responsible for data entering, gathering, and primary source verification of healthcare practitioner information, including in-depth, detailed, or challenging research of information. Primary methods of researching information include phone, fax, e-mail, internet, and letters. This position needs to be knowledgeable in health care, be task oriented, and work with other team members to accurately and timely process documentation as required.
Responsibilities:
What you'll need:
Why choose us:
As a team member of the Health Support Center, our goal is to support those that are in our facilities who are interfacing and providing care to our patients and community members. Our focus is to attract, retain, and empower a diverse and determined workforce. Our mission statement is at the heart of who we are and what we do: "Making Communities Healthier." In this shared mission, we believe that our collective efforts will shape a healthier future for the communities we serve.
Benefits: We offer an excellent total compensation package, including a competitive salary and benefits. Some of our benefits include 401k, flexible PTO, generous Employee illness benefit (EIB), medical, dental, vision, tuition reimbursement, and an Employee Assistance Program. We believe that happy, healthy people have a passionate engagement with life and work and have designed our package to enhance your wellbeing.
Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran